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TOTAL ACCESS URGENT CARE PC NPI 1427646298


NPI Information

NPI: 1427646298
Provider Name: TOTAL ACCESS URGENT CARE, PC
Classification: Clinic/Center - 261QU0200X
Entity Type: Organization

Specialization: Urgent Care

CLIA Number: 26D2199288

Address:
3909 MEXICO ROAD
ST. CHARLES, MO
ZIP 63303
Phone: (636) 477-6344
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TOTAL ACCESS URGENT CARE, PC is an urgent care clinic center in St. Charles, MO. TOTAL ACCESS URGENT CARE, PC NPI is 1427646298. The provider is registered as an organization entity type.

The provider's business location address is:

3909 MEXICO ROAD
ST. CHARLES, MO
ZIP 63303
Phone: (636) 477-6344
Fax: (636) 477-6544

The provider's authorized official is Matthew Bruckel .
The authorized official title is President and has the following contact phone number (314) 238-4660.

The CLIA number assigned to this NPI record is 26D2199288 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/6/2021 and was last updated on 1/6/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QU0200XClinic/CenterUrgent CareYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11962684886OTHERNPI MAIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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